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Coding shortening of finger

  1. #1
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    NEW ORLEANS
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    956
    Default Coding shortening of finger
    Medical Coding Books
    How would someone code shortening of finger, disarticulation of pip joint, and intrasseous placement of digital neves . help stuck on this one

  2. #2
    Location
    Duluth, Minnesota
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    1,133
    Default
    why was this done?
    Donna, CPC, CPC-H

  3. #3
    Location
    ENGLEWOOD/DENVER
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    2,338
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    hi trent..its me again..lol Can you post a scrubbed version of the op note?

  4. #4
    Location
    NEW ORLEANS
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    956
    Default Finger
    Patient had a traumatic amputation of ther pulp of their little finger which was replaced by ER . It was elected to do a shortening of the finger rather than do a cross finger flap.
    Patient had a fish mouth incision planned and it was incised down to the skin and sub tissues. The neurovascular bundles were identified distally and traced out distally. tThE finger was then disarticulated through the collateral ligaments, the extensor tendon and profunds tendon and then he drill a hole two mm through the distal phalanx. The digital nerves were advanced from side to side with a pull up suture and 4-0 chromic. Prior to placing the nerves, the cartilage was removed as well as the condyle. -4-0 sutures were used to close skin .

  5. #5
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    ENGLEWOOD/DENVER
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    2,338
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    look at 26951

  6. #6
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hey trent - you'd look under amputation, (because that's what they really were doing), yes - they were shortening it, but they had to amputate part. It looks like the code range 26910-26952 should be the area you need to look at. I'd check the coders desk reference to be sure. Also note, the extra codes for repair of soft tissue defect if applicable.
    {that's my my opinion on the posted matter}
    Donna, CPC, CPC-H

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